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Worried Mom:

Welcome to the group :)

A band can shift a little bit, but it should never rotate.

I would be very alarmed. A child's head can be made worse by an ill

fitting band and an inexperienced orthotist. So it is possible that

is happening as you are thinking.

What kind of helmet is he in?

Since his first one came in fitting incorrectly I would wonder if the

ortho is scanning him correctly.

Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

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Worried Mom:

Welcome to the group :)

A band can shift a little bit, but it should never rotate.

I would be very alarmed. A child's head can be made worse by an ill

fitting band and an inexperienced orthotist. So it is possible that

is happening as you are thinking.

What kind of helmet is he in?

Since his first one came in fitting incorrectly I would wonder if the

ortho is scanning him correctly.

Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

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hi an Welcome to the group,

Hmm, some shifting is normal. Normal would be less than 1 " in any

direction. However, it should not shift to block eyesight or cover

ears. My daughter's shifts quite a bit (about 1/2 " ) and drives me

crazy ;) She doesn't have a lot of hold n the back so it shifts

forward and a little to one side. That being said she has seen some

correction in that past 3 weeks. We saw correction the first week.

She was just over 7 months at banding and is now 8 months. It might

take 2 weeks to see correction in an 11 month old.

The helmet most likely would not sit square on the head because they

are usually designed for the corrected headshape and since the

current is asymmetrial they look scewed at first. It does get better

and the shifting gets better.

So how far is it shifting? Where are you going? Maybe someone has

been there and can aleviate some of your worries. I'm a little

concerned she's getting defensive. I'm also concerned that the first

helmet was botched. Hmm.

na, 2 1/2 yrs, DOC Grad, Feb 04, Tort Resolved

Kiersten, 8 months, DOC band 1/10/06, Tort

www.thefilyaws.com

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be growing

in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says that

my son can NEVER have a

> helmet that sits square on his head because his head is too round.

I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's

completely given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake the

helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does

anyone else have a problem

> with helmet rotation and is my orthotist right in saying that

helmet rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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hi an Welcome to the group,

Hmm, some shifting is normal. Normal would be less than 1 " in any

direction. However, it should not shift to block eyesight or cover

ears. My daughter's shifts quite a bit (about 1/2 " ) and drives me

crazy ;) She doesn't have a lot of hold n the back so it shifts

forward and a little to one side. That being said she has seen some

correction in that past 3 weeks. We saw correction the first week.

She was just over 7 months at banding and is now 8 months. It might

take 2 weeks to see correction in an 11 month old.

The helmet most likely would not sit square on the head because they

are usually designed for the corrected headshape and since the

current is asymmetrial they look scewed at first. It does get better

and the shifting gets better.

So how far is it shifting? Where are you going? Maybe someone has

been there and can aleviate some of your worries. I'm a little

concerned she's getting defensive. I'm also concerned that the first

helmet was botched. Hmm.

na, 2 1/2 yrs, DOC Grad, Feb 04, Tort Resolved

Kiersten, 8 months, DOC band 1/10/06, Tort

www.thefilyaws.com

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be growing

in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says that

my son can NEVER have a

> helmet that sits square on his head because his head is too round.

I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's

completely given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake the

helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does

anyone else have a problem

> with helmet rotation and is my orthotist right in saying that

helmet rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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Our son's 2 starbands rotated alot. I was adjusting it every 20

minutes. We were also told that our son just had one of those heads

that a helmet wouldn't fit on. It was total bs. We have a doc band

now. It fits perfectly. Barley rotates at all. I can't beleive

the difference in the fit. Our ortho also did not want to admit

defeat. I beleive it was making things worse espeically in the

face. The doc band is open more on the top so you can see the open

areas. If this band even rotates a little the open part disapears.

So I think if it is rotating alot it is not good. 11 months is a

bit older than the ideal age. If you are thinking about going

somewhere else you should do it soon.

I will say that all three bands that we have had do not look

symetrical from the outside at all.

Haylee

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be

growing in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says

that my son can NEVER have a

> helmet that sits square on his head because his head is too

round. I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's

completely given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake

the helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does

anyone else have a problem

> with helmet rotation and is my orthotist right in saying that

helmet rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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Our son's 2 starbands rotated alot. I was adjusting it every 20

minutes. We were also told that our son just had one of those heads

that a helmet wouldn't fit on. It was total bs. We have a doc band

now. It fits perfectly. Barley rotates at all. I can't beleive

the difference in the fit. Our ortho also did not want to admit

defeat. I beleive it was making things worse espeically in the

face. The doc band is open more on the top so you can see the open

areas. If this band even rotates a little the open part disapears.

So I think if it is rotating alot it is not good. 11 months is a

bit older than the ideal age. If you are thinking about going

somewhere else you should do it soon.

I will say that all three bands that we have had do not look

symetrical from the outside at all.

Haylee

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be

growing in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says

that my son can NEVER have a

> helmet that sits square on his head because his head is too

round. I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's

completely given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake

the helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does

anyone else have a problem

> with helmet rotation and is my orthotist right in saying that

helmet rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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Thanks for everyone's input!

To answer 's question, I am taking my son Axel to Scope Orthotics in San

Diego,

where they've fitted him with the Starband. My son's plagiocephaly/torticollis

was

diagnosed very early (at 3mos), but because of delays with insurance, I couldn't

get him

started on the helmet until he was 8 months. My orthotist claims to be

experienced - she

tells me that she has even trained other orthotists, has the proper credentials,

etc. She

insists that the uneven growth in the face is likely caused from the torticollis

- but I don't

know why his face should be growing unevenly in the front when his torticollis

has gotten

better! (I am seeing a physical therapist for his tort.) The helmet rotates at

least half an

inch, but less than an inch, to the right. What is happening to his face is

that his right

temple bulges out more than his left temple, which appears to have a depression

that

seems to correspond to where the peak extension rests.

I have a question for Haylee - do you think the brand of helmet makes a

difference? You

also observed the helmet affecting the face. Did you see an uneven growth

around the

temples also? I went to a Docband office first, only to find out that they were

not under

contract with my insurance company. Did insurance allow you to switch offices,

or did you

pay out of pocket?

One difference I see btw Starband and Docband is that the docband has a big

opening on

top. My orthotist says cranial molding helmets should have greater contact

surface and

says the starband is better for that reason. One thing I liked about Scope is

that they do a

digital scan of the head and make the helmet from the 3D scan, eliminating the

casting

process. Is there a concensus out there on which brand is the preferred brand?

Thank you all for help!

Suiko

>

> Worried Mom:

> Welcome to the group :)

> A band can shift a little bit, but it should never rotate.

> I would be very alarmed. A child's head can be made worse by an ill

> fitting band and an inexperienced orthotist. So it is possible that

> is happening as you are thinking.

> What kind of helmet is he in?

> Since his first one came in fitting incorrectly I would wonder if the

> ortho is scanning him correctly.

>

> Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

>

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Thanks for everyone's input!

To answer 's question, I am taking my son Axel to Scope Orthotics in San

Diego,

where they've fitted him with the Starband. My son's plagiocephaly/torticollis

was

diagnosed very early (at 3mos), but because of delays with insurance, I couldn't

get him

started on the helmet until he was 8 months. My orthotist claims to be

experienced - she

tells me that she has even trained other orthotists, has the proper credentials,

etc. She

insists that the uneven growth in the face is likely caused from the torticollis

- but I don't

know why his face should be growing unevenly in the front when his torticollis

has gotten

better! (I am seeing a physical therapist for his tort.) The helmet rotates at

least half an

inch, but less than an inch, to the right. What is happening to his face is

that his right

temple bulges out more than his left temple, which appears to have a depression

that

seems to correspond to where the peak extension rests.

I have a question for Haylee - do you think the brand of helmet makes a

difference? You

also observed the helmet affecting the face. Did you see an uneven growth

around the

temples also? I went to a Docband office first, only to find out that they were

not under

contract with my insurance company. Did insurance allow you to switch offices,

or did you

pay out of pocket?

One difference I see btw Starband and Docband is that the docband has a big

opening on

top. My orthotist says cranial molding helmets should have greater contact

surface and

says the starband is better for that reason. One thing I liked about Scope is

that they do a

digital scan of the head and make the helmet from the 3D scan, eliminating the

casting

process. Is there a concensus out there on which brand is the preferred brand?

Thank you all for help!

Suiko

>

> Worried Mom:

> Welcome to the group :)

> A band can shift a little bit, but it should never rotate.

> I would be very alarmed. A child's head can be made worse by an ill

> fitting band and an inexperienced orthotist. So it is possible that

> is happening as you are thinking.

> What kind of helmet is he in?

> Since his first one came in fitting incorrectly I would wonder if the

> ortho is scanning him correctly.

>

> Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

>

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Suiko,

I found your ortho in our database (click here) but the person who added Scope didn't leave their email addy!

Torticollis can cause facial asymmetries, but if his tort is improving it won't cause his face to get worse! Our PT is the tort guru. She told us to put a thumb on each cheekbone (find the bone not the facial muscle). That asymmetry is from the plagio. If your thumbs line up on the cheekbones the asymmetry is from the tort.

Haylee is in Canada so their insurance is different. We had out of network benefits for dd's DOC Band. Insurance paid for half of it. I am currently working on my second appeal. My appeal is based on two things. 1.) There are no competent in network providers for us. 2.) The DOC Band is the only orthosis with FDA clinical trials to prove it's effectiveness. I don't know if this appeal will fly but I thought I'd mention it to you since you asked about being out of network.

If both bands have come in with an incorrect fit it's plausible to conclude there is an issue with the scanning process or some sort of quality control issue. Maybe you should ask your ortho for references and call those parents.

I hope he sees some rounding :)

Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

> >> > Worried Mom:> > Welcome to the group :)> > A band can shift a little bit, but it should never rotate. > > I would be very alarmed. A child's head can be made worse by an ill > > fitting band and an inexperienced orthotist. So it is possible that > > is happening as you are thinking. > > What kind of helmet is he in? > > Since his first one came in fitting incorrectly I would wonder if the > > ortho is scanning him correctly.> > > > Mom to Dane (4 yo) and Cece (13 mo) DOC Grads> >>

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Suiko,

I found your ortho in our database (click here) but the person who added Scope didn't leave their email addy!

Torticollis can cause facial asymmetries, but if his tort is improving it won't cause his face to get worse! Our PT is the tort guru. She told us to put a thumb on each cheekbone (find the bone not the facial muscle). That asymmetry is from the plagio. If your thumbs line up on the cheekbones the asymmetry is from the tort.

Haylee is in Canada so their insurance is different. We had out of network benefits for dd's DOC Band. Insurance paid for half of it. I am currently working on my second appeal. My appeal is based on two things. 1.) There are no competent in network providers for us. 2.) The DOC Band is the only orthosis with FDA clinical trials to prove it's effectiveness. I don't know if this appeal will fly but I thought I'd mention it to you since you asked about being out of network.

If both bands have come in with an incorrect fit it's plausible to conclude there is an issue with the scanning process or some sort of quality control issue. Maybe you should ask your ortho for references and call those parents.

I hope he sees some rounding :)

Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

> >> > Worried Mom:> > Welcome to the group :)> > A band can shift a little bit, but it should never rotate. > > I would be very alarmed. A child's head can be made worse by an ill > > fitting band and an inexperienced orthotist. So it is possible that > > is happening as you are thinking. > > What kind of helmet is he in? > > Since his first one came in fitting incorrectly I would wonder if the > > ortho is scanning him correctly.> > > > Mom to Dane (4 yo) and Cece (13 mo) DOC Grads> >>

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Worried Mom,

Welcome to the group. I want to second everything that has

already told you. It is VERY possible for an ill fitting band to make

a baby's head worse.

Does your ortho have any before and after pictures of babies she's

treated?

-- In Plagiocephaly , " bodengroden " <bodengroden@y...>

wrote:

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be growing

in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says that

my son can NEVER have a

> helmet that sits square on his head because his head is too round.

I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's completely

given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake the

helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does anyone

else have a problem

> with helmet rotation and is my orthotist right in saying that helmet

rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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Worried Mom,

Welcome to the group. I want to second everything that has

already told you. It is VERY possible for an ill fitting band to make

a baby's head worse.

Does your ortho have any before and after pictures of babies she's

treated?

-- In Plagiocephaly , " bodengroden " <bodengroden@y...>

wrote:

>

> Hello,

> I am a new member who just joined because I have a pressing

question. My son is eleven

> months old, and he has been wearing a rotating helmet for three

months. I keep trying to

> readjust the helmet, but it keeps rotating to the right. Both ear

cutouts look like they are

> shifted to the right and the face cutout is also off-center. In

looking at the cranial scan that

> my orthotist took about a month ago, his head appears to be growing

in the direction that

> the helmet is rotating. My orthotist says that my son's head has

not grown enough to show

> that he is growing in one direction or another. She also says that

my son can NEVER have a

> helmet that sits square on his head because his head is too round.

I am alarmed to hear the

> word " never " coming from her. It sounds to me like she's completely

given up on the idea of

> my son having a properly fitting helmet.

> The helmet that he is wearing now is actually his second helmet.

The first one was crooked

> in the same way and at that time, my orthotist agreed to remake the

helmet. This time, she

> seems determined to keep my son in the rotating helmet. Does anyone

else have a problem

> with helmet rotation and is my orthotist right in saying that helmet

rotation won't affect the

> cranial remolding? She knows I am beginning to doubt her and she

takes offense.

> Any comments or advice much appreciated,

> Worried Mom

>

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Share on other sites

In our case the brand totally made a difference. The band doesn't

shift at all. My son's flat spot was on the back left hand side.

Therefore his left hand side of his forehead was prominent. The

band would rotate and press on the right side of his forehead. It

especially pressed on the right eyebrow bone leaving indents and

redmarks. And they wanted him to keep wearing it saying " well i

don't think it is harming him " . His right temple area is totaly

sloped in. The starband " sideburn " always pressed veryhard there

and left redmarks and indents. I don't know about the surface area

thing. I think you need holding points but the whole point is to

have the flattened areas have room to grow so you would think you

would want no surface area on those spots. We are from canada so

the 2 starbands were paid for. The doc band is not pid for though.

We decided that we would pay out of pocket for it and we also pay

for the travel expenses. Our family is holding a fundraiser to help

cover the travel costs and we are hoping that our private insurance

will cover 80% of the doc band, we will find out soon. You can see

progress pictures in the photo section under plagio babies a andre

c. After the 2 starbands and now seeing how the doc band fits i

can't believe what we went through with those first 2. Disgusting.

I think that people do have good results with all kinds of helmets

but you may want to look at other options if you can.

Haylee

>

> Thanks for everyone's input!

> To answer 's question, I am taking my son Axel to Scope

Orthotics in San Diego,

> where they've fitted him with the Starband. My son's

plagiocephaly/torticollis was

> diagnosed very early (at 3mos), but because of delays with

insurance, I couldn't get him

> started on the helmet until he was 8 months. My orthotist claims

to be experienced - she

> tells me that she has even trained other orthotists, has the

proper credentials, etc. She

> insists that the uneven growth in the face is likely caused from

the torticollis - but I don't

> know why his face should be growing unevenly in the front when his

torticollis has gotten

> better! (I am seeing a physical therapist for his tort.) The

helmet rotates at least half an

> inch, but less than an inch, to the right. What is happening to

his face is that his right

> temple bulges out more than his left temple, which appears to have

a depression that

> seems to correspond to where the peak extension rests.

>

> I have a question for Haylee - do you think the brand of helmet

makes a difference? You

> also observed the helmet affecting the face. Did you see an

uneven growth around the

> temples also? I went to a Docband office first, only to find out

that they were not under

> contract with my insurance company. Did insurance allow you to

switch offices, or did you

> pay out of pocket?

>

> One difference I see btw Starband and Docband is that the docband

has a big opening on

> top. My orthotist says cranial molding helmets should have

greater contact surface and

> says the starband is better for that reason. One thing I liked

about Scope is that they do a

> digital scan of the head and make the helmet from the 3D scan,

eliminating the casting

> process. Is there a concensus out there on which brand is the

preferred brand?

> Thank you all for help!

> Suiko

>

>

>

>

>

>

>

> --- In Plagiocephaly , " rmanias " <manias@c...>

wrote:

> >

> > Worried Mom:

> > Welcome to the group :)

> > A band can shift a little bit, but it should never rotate.

> > I would be very alarmed. A child's head can be made worse by an

ill

> > fitting band and an inexperienced orthotist. So it is possible

that

> > is happening as you are thinking.

> > What kind of helmet is he in?

> > Since his first one came in fitting incorrectly I would wonder

if the

> > ortho is scanning him correctly.

> >

> > Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

> >

>

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Share on other sites

In our case the brand totally made a difference. The band doesn't

shift at all. My son's flat spot was on the back left hand side.

Therefore his left hand side of his forehead was prominent. The

band would rotate and press on the right side of his forehead. It

especially pressed on the right eyebrow bone leaving indents and

redmarks. And they wanted him to keep wearing it saying " well i

don't think it is harming him " . His right temple area is totaly

sloped in. The starband " sideburn " always pressed veryhard there

and left redmarks and indents. I don't know about the surface area

thing. I think you need holding points but the whole point is to

have the flattened areas have room to grow so you would think you

would want no surface area on those spots. We are from canada so

the 2 starbands were paid for. The doc band is not pid for though.

We decided that we would pay out of pocket for it and we also pay

for the travel expenses. Our family is holding a fundraiser to help

cover the travel costs and we are hoping that our private insurance

will cover 80% of the doc band, we will find out soon. You can see

progress pictures in the photo section under plagio babies a andre

c. After the 2 starbands and now seeing how the doc band fits i

can't believe what we went through with those first 2. Disgusting.

I think that people do have good results with all kinds of helmets

but you may want to look at other options if you can.

Haylee

>

> Thanks for everyone's input!

> To answer 's question, I am taking my son Axel to Scope

Orthotics in San Diego,

> where they've fitted him with the Starband. My son's

plagiocephaly/torticollis was

> diagnosed very early (at 3mos), but because of delays with

insurance, I couldn't get him

> started on the helmet until he was 8 months. My orthotist claims

to be experienced - she

> tells me that she has even trained other orthotists, has the

proper credentials, etc. She

> insists that the uneven growth in the face is likely caused from

the torticollis - but I don't

> know why his face should be growing unevenly in the front when his

torticollis has gotten

> better! (I am seeing a physical therapist for his tort.) The

helmet rotates at least half an

> inch, but less than an inch, to the right. What is happening to

his face is that his right

> temple bulges out more than his left temple, which appears to have

a depression that

> seems to correspond to where the peak extension rests.

>

> I have a question for Haylee - do you think the brand of helmet

makes a difference? You

> also observed the helmet affecting the face. Did you see an

uneven growth around the

> temples also? I went to a Docband office first, only to find out

that they were not under

> contract with my insurance company. Did insurance allow you to

switch offices, or did you

> pay out of pocket?

>

> One difference I see btw Starband and Docband is that the docband

has a big opening on

> top. My orthotist says cranial molding helmets should have

greater contact surface and

> says the starband is better for that reason. One thing I liked

about Scope is that they do a

> digital scan of the head and make the helmet from the 3D scan,

eliminating the casting

> process. Is there a concensus out there on which brand is the

preferred brand?

> Thank you all for help!

> Suiko

>

>

>

>

>

>

>

> --- In Plagiocephaly , " rmanias " <manias@c...>

wrote:

> >

> > Worried Mom:

> > Welcome to the group :)

> > A band can shift a little bit, but it should never rotate.

> > I would be very alarmed. A child's head can be made worse by an

ill

> > fitting band and an inexperienced orthotist. So it is possible

that

> > is happening as you are thinking.

> > What kind of helmet is he in?

> > Since his first one came in fitting incorrectly I would wonder

if the

> > ortho is scanning him correctly.

> >

> > Mom to Dane (4 yo) and Cece (13 mo) DOC Grads

> >

>

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